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Triple P: Coming to a Doctor's Office Near You? Primary Care Triple P in the State of Washington

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Triple P: Coming to a Doctor's Office Near You? Primary Care Triple P in the State of Washington December 4, 2013. Scott Waller , M.Ed., CPP Prevention Integration Lead, Washington State Division of Behavioral Health and Recovery. Washington State Triple P Project.

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Triple P: Coming to a Doctor's Office Near You?Primary Care Triple P in the State of Washington

December 4, 2013

Scott Waller, M.Ed., CPP

Prevention Integration Lead, Washington State Division of Behavioral Health and Recovery

washington state triple p project
Washington State Triple P Project
  • DBHR/SCH/UW Primary Care Communities Project
    • More than 20 healthcare providers including 7 who can bill Medicaid (M.D., ARNP, PA)
    • 3 Rural communities
project objectives and outcomes
Project Objectives and Outcomes
  • Dissemination of a brief parent education consultation model to primary care providers
  • Determining how to scale up community capacity across the state
  • Facilitating community buy-in and community readiness
  • Identifying barriers to adoption
  • Facilitating reimbursement mechanism for primary care providers
  • Determining clinical outcomes and utilization benefits from the service
high priority get primary care providers involved
High priority – Get primary care providers involved

WHY?

  • Parents listen to primary healthcare providers – even if they do not always follow the recommendations.
  • Affordable Care Act and Healthcare Homes – primary care providers can influence trajectory of problems through appropriately timed interventions.
  • Interested in well-being of patients.
barriers for primary care providers
Barriers for primary care providers
  • Time – for meetings, for training, for delivery of services, for record-keeping, etc.
  • Medical practices are businesses – there is little room in the course of a day for non-billable services.
keys to setting up medicaid billing
Keys to setting up Medicaid billing
  • State Medicaid medical director – impact of Triple P in reducing child harm indicators in South Carolina
  • Mental health DSM codes – identify those that would likely show up in primary care provider office, e.g., sleep disorders
  • Referral protocols - for patients who need more intensive behavioral health support than primary care providers can offer
keys to setting up medicaid billing1
Keys to setting up Medicaid billing
  • Current Procedural Terminology (CPT) billing codes – identify appropriate codes for variances in time, initial vs. ongoing services
  • System understanding of billing process
billing process in washington
Billing process in Washington
  • Provider One (Washington’s Medicaid Billing system) – primary care providers participating in this project bill for Triple P services using specific authorization codes through centralized billing system
keys to setting up medicaid billing2
Keys to setting up Medicaid billing
  • Tie billing to Triple P certification - after training they get provisional billing authority; certification necessary to retain
using implementation science research
Using Implementation Science Research
  • Reducing the gap between what is known to be effective and what is provided to consumers in community practice setting.

How do you change the behavior of well-meaning human service providers?

K.Blasé

Fixsen & Blasé, National Implementation Research Networkhttp://www.fpg.unc.edu

core implementation components
Core Implementation Components

Fixsen, DL, et al. (2005). Implementation Research: A synthesis of the Literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network (FMHI Publication #231).

next steps
Next Steps
  • Program evaluation
  • Program expansion
    • Regional mental health networks
    • Other primary care providers
  • Collaboration with parallel Triple P projects
  • Public health media campaign
  • Statewide coordination of entire Triple P system of care
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For more information

Scott Waller, M.Ed., CPP

Prevention Integration Lead

Washington State Division of Behavioral Health and Recovery 360 725-3782 | [email protected]

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